ATI RN
ATI Maternity Exam 3 Questions
Extract:
Caring for a premature infant.
Question 1 of 5
In caring for the premature infant, the nurse must continually assess hydration status. Parameters to assess would include all of the following except:
Correct Answer: D
Rationale: Blood pH reflects acid-base balance, not hydration, unlike weight, stool, and urine which directly indicate fluid status.
Extract:
A client who is 42 weeks of gestation
Question 2 of 5
A nurse is caring for a client who is 42 weeks of gestation. Based on the assessment findings, which of the following actions should the nurse plan to take?
Correct Answer: B,C,D
Rationale: For post-term pregnancy with potential distress, IV fluids, side-lying position, and oxygen improve perfusion and oxygenation. Increasing oxytocin risks distress, and SVE isn't urgent.
Extract:
A client who is in active labor at 7 cm of cervical dilation and 100% effacement
Question 3 of 5
A nurse is caring for a client who is in active labor and has just been examined as being at 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Panting or blowing prevents premature pushing at 7 cm, reducing cervical swelling risk. Comfort positioning, crowning observation, or bladder emptying are not appropriate yet.
Extract:
A client who is at 36 weeks of gestation and scheduled for an amniocentesis
Question 4 of 5
A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Ultrasound identifies placenta and fetus location to guide safe amniocentesis needle insertion. It's not primarily for multiple fetuses, spina bifida screening, or fetal age estimation.
Extract:
A client who is at 23 weeks of gestation
Question 5 of 5
A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis. Which of the following instructions should the nurse give the client?
Correct Answer: B
Rationale: Emptying the bladder before amniocentesis improves comfort and safety. Bowel prep, fasting, and washing the abdomen are not required.